Individual
DR. KELLIE K LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
605 BROAD AVE STE 202, RIDGEFIELD, NJ 07657-1604
(201) 224-9968
Mailing address
200 BOYDEN AVE APT 336, MAPLEWOOD, NJ 07040-2596
(916) 838-3237
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02988000
NJ
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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